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18 Cards in this Set

  • Front
  • Back
assessment
the collection of data about an individual's health state
Biomedical model
the Western European/ North American tradition that views health as the absence of disease
Complete database
a complete health history and full physical examination
Critical thinking
simultaneously problem-solving while self-improving one's own thinking ability
Diagnostic reasoning
a method of collecting and analyzing clinical information with the following components 1. attending to initially available cues 2. formulating diagnostic hypothesis 3. gathering data relative to the tentative hypothesis 4. evaluating each hyposthesis with the new data collected and 5. arriving at a final diagnosis
Emergency database
rapid collection of the database, often compiled concurrently with lifesaving measures
enviroment
the total of all the conditions and elements that make up the surroundings and influence the development of a person
Evidence based practice
a systematic approach emphasizing the best research evidence, the clinician's experience, patient preferences and values, physical examination, and assessment
Focused database
one used for a limited or short term problem; concerns mainly one problem, one cue complex, or one body system
follow-up database
used in all settings to monitor progress on short term or chronic health problems
Holistic health
the view that the mind, body, and spirit are interdependent and function as a whole within the enviroment
Medical diagnosis
used to evaluate the cause and etiology of disease; focus is on the fuction or malfunction of a specific organ system
Nursing diagnosis
used to evaluate the response of the whole person to actual or potential health problems
Nursing process
a method of collecting and analyzing clinical information with the following components 1. assessment 2. diagnosis 3 outcome identification 4 planning 5 implementation 6 evaluation
objective data
what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical exam
prevention
any action directed toward promoting health and preventing the occurence of disease
subjective data
what the person says about himself or herself during history taking
wellness
a dynamic process and view of health; a move toward optimal functioning